| NPI | 1861674285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D BEAL Owner 907-561-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: AK 798) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-03-06 |